Preventing Bloodstream Infections
April 1, 2011 | Journal Article
Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line–associated bloodstream infections.
Institutional Design
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TCAB
November 1, 2009 | Journal Article
In this contribution to a special supplement of the American Journal of Nursing, executives of the Institute for Healthcare Improvement (IHI) detail the evolution, specific processes (such as "rapid-cycle design") and pilot program results and highlights of the Transforming Care at the Bedside (TCAB) initiative.
Improving Communication with Bedside Video Rounding
November 1, 2009 | Journal Article
Writing in a supplement to the American Journal of Nursing, medical and nursing executives from Cedars-Sinai Medical Center in Los Angeles recount their institution's experience with implementing video rounding on several surgical units.
Improving Communication Among Nurses, Patients, and Physicians
November 1, 2009 | Journal Article
A series of changes leads to cultural transformation at a Transforming Care at the Bedside (TCAB) Hospital. Kimberley B. Chapman provides detail from her front-line staff perspective of how her hospital has grappled with implementing the nurse-led, quality improvement program, and ultimately changed the care they provide.
Transporting Telemetry Patients
November 1, 2009 | Journal Article
The director of a stepdown unit at the University of Pittsburgh Medical Center (UPMC) St. Margaret Hospital details her team's experience with changing a fundamental policy regarding transporting telemetry patients for off-unit procedures.
Spreading TCAB Across Network Hospitals
November 1, 2009 | Journal Article
Seton Family of Hospital's TCAB spread leaders believe the units most likely to adopt the TCAB program successfully demonstrate: strong engagement by unit leadership in the process at least one TCAB champion on the unit and a method to regularly share information about the process.
Creating Leaders for the Future
November 1, 2009 | Journal Article
Transforming Care at the Bedside (TCAB) is helping to redesign hospital care by developing new nursing leaders. Pamela Austin Thomas, CEO of the American Organization of Nurse Executives (AONE), asserts that TCAB has the potential to change decision-making in the entire health care system.
Trustees View TCAB from a Business Perspective
November 1, 2009 | Journal Article
Two trustees of hospitals that have experience with Transforming Care at the Bedside (TCAB), a nurse-led, quality improvement initiative, cite efficiency, lower staff turnover, and staff and patient satisfaction as reasons why TCAB makes sense from a hospital's business point of view.
TCAB in the Curriculum
November 1, 2009 | Journal Article
Nursing students need to be taught the guiding principles of Transforming Care at the Bedside (TCAB), a nurse-led, quality improvement program, from the first day of nursing school so that their entire education prepares them to work in a collaborative, adaptive environment centered on patient care, according to this article on curriculum and TCAB.
Overall Effect of TCAB on Initial Participating Hospitals
November 1, 2009 | Journal Article
Evaluating the total impact of Transforming Care at the Bedside (TCAB), a nurse-led quality improvement initiative, is challenging many TCAB goals do not lend themselves to easy measurement and it is not necessarily desirable to use time and resources to quantify impact when the goal of TCAB is rapid improvement.